Kofman Chiropractic Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC20670 Issued in CA

Legal business name

KOFMAN CHIROPRACTIC CORP

Practice address

11685 Magnolia Blvd
Valley Village, CA 91601

Phone

(818) 766-8485

Fax

(818) 766-5591

NPI assigned

Jan 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gregory Kofman, DCNPI 1679743413

Title

President

Phone

(818) 766-8485

Specialties & licenses 1

Addresses

Other names 1

• Kofman Chiropractic Corp Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory L. Kofman, D.C.

  • Chiropractor
  • Valley Village, CA
  • NPI 1679743413
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1205993474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11685 MAGNOLIA BLVD",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "91601",
            "telephone_number": "818-766-8485",
            "fax_number": "818-766-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11685 MAGNOLIA BLVD",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "91601",
            "telephone_number": "818-766-8485",
            "fax_number": "818-766-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOFMAN CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "KOFMAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-766-8485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC20670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kofman Chiropractic Corp",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kofman Chiropractic Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kind Hands Inc.
• Kindred Health Services, Inc.
• Nakia Michelle King
• Vache Kirakosyan, RN
• KLG Enterprises LLC
• Gregory L. Kofman, D.C.
• Anna Kolentsova, DDS
• Paul H Kramer, MD
• Rachel Victoria Krepack
• Margaret Ann Krpan, DC

• Chiropractor in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.